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Personal Information:

Are you registered with the Allied Health Professionals Council (AHPC)?
Clinic / Hospital Address

Academic Qualification:

1: Secondary School Certificate (SSC)

2: Higher Secondary School Certificate (HSSC)

3: B.A / BSc Degree (if applicable)

3: MA / MSc (if applicable)

4: Diploma / Certificate / Degree (Allied Health Sciences Discipline)

What would you like to proceed with after obtaining membership?
Declaration & Undertaking

Upload Documents Here:

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.
Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.
Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

📌 Note

  • The Local Branch General Secretary will keep a photocopy of this form for record purposes.
  • The original form must be forwarded to the Secretariat of Allied Health Organization.
  • An amount of Rs. 5,000/- is required as Admission Fee and must be sent along with the original form.
  • Membership will commence only after approval and confirmation by the Chairman (AHO).